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The reasons for painful shoulders can be acute or chronic, and the treatment depends on the cause, which must be modern, combined, and tailored to each patient. The physiotherapy centre is the right place where you can receive detailed examinations and treatment based on the established diagnosis that will quickly relieve discomfort and preserve joint function.

How to get rid of shoulder pain - establishing a diagnosis, therapy, and treatment at Fizionova Center

To permanently eliminate shoulder pain, it is necessary to accurately identify the causes and define a therapeutic procedure accordingly. Establishing a diagnosis is done through clinical examination and a detailed description of all discomfort. X-rays, CT scans, MRI, and ultrasound are often used. However, despite detailed analysis, it is sometimes difficult to discover the exact cause of pain. Therefore, various therapeutic procedures are used to alleviate discomfort and potentially achieve complete recovery. Fizionova Center is a physiotherapy centre that, through modern methods, with the help of physical therapy and planned rehabilitation, leads to full recovery. The best protocols for diagnosing and treating neck and shoulder pain are:

  1. RSQ 1 apparatus with high-frequency current on the painful area.
  2. Low-frequency, high-intensity magnetic field or PEMS
  3. Scanning laser
  4. Radial waves
  5. FSWT or Focused Shockwave Therapy
  6. Kinesiotherapy

High-frequency current on the RSQ1 apparatus serves for neuromuscular stimulation, which accelerates circulation, brings more oxygen into the blood, and significantly reduces pain.

Another way to reduce pain, improve blood circulation, and alleviate all conditions is low-frequency magnetic fields, which are also helpful for neck and shoulder pain.

The scanning laser has precise effects, providing anti-inflammatory action, reducing swelling, pain, and stimulating tissue regeneration and repair. Patients often notice faster healing after just a few treatments. Radial waves provide significant relief to patients with chronic pain, improving circulation, reducing muscle tension, and restoring joint mobility.

FSWT - Focused Shockwave Therapy also uses waves as therapy and treats the painful area with high-density acoustic waves. In just 4-6 treatments, noticeable regeneration of bone and soft tissue occurs.

Kinesiotherapy involves motion therapy and is an integral part of the treatment of neck and shoulder pain. A set of exercises designed for specific movements strengthens the treated area, helping the muscles better support the joints and perform movements correctly. In our centre, a special therapeutic procedure is defined for each patient, and through an individual approach, complete recovery is achieved most easily. Even if you don't have symptoms, it's a good idea to show you how to strengthen your muscle system and keep your body in the correct position through preventive exercises.

What does a painful shoulder look like and what are the causes of its occurrence?

The symptoms of a painful shoulder vary depending on the causes. Pain can be acute, and sudden, and occur more often with specific movements, disappearing as soon as the cause is eliminated. Chronic pain occurs with varying intensity and significantly affects normal shoulder use and arm movement. It can sometimes limit the movement of the entire arm and be associated with loss of sensation in the hands and reduced sensitivity.

The causes of painful shoulders are the most common:

  • Shoulder injury
  • Tendon and ligament injuries
  • Joint injury
  • Shoulder overuse
  • Psychological tension
  • Cold and humidity
  • Neck pain spreading to the shoulders
  • Heart problems...

The causes vary, and some are easy to treat, but sometimes they are multiple, requiring precise treatment to alleviate discomfort and reduce inflammation. The first step is to define the problem and establish the correct diagnosis.

Injuries that cause shoulder pain

Frozen shoulder - one of the most common problems with the shoulder is a frozen shoulder, a syndrome that restricts movement. It often occurs in women between the ages of 40 and 60 due to the formation of foreign connective tissue in the joint capsule, leading to reduced mobility and inflammatory conditions.

Tendonitis - Injury, tendon rupture, or changes in the joint cause shoulder tendon inflammation, initially resulting in pain during movement, and later significantly restricting shoulder movement.

Bursitis – When an inflammatory process occurs inside the shoulder bag, which reduces joint friction during movement (bursa), bursitis occurs. The pain can spread to the arm and occurs on the outer part of the shoulder. It is bothersome even when lying on the shoulder, and appears when the arm is raised upwards. It is often associated with neck pain, which may be another indicator of the disease.

Calcification of the shoulder – Calcification of the shoulder occurs as the deposition of calcium in the tendons, leads to tissue inflammation and shoulder pain. It can be caused by injury, or excessive shoulder use, but is also a natural part of the ageing process.

Osteoarthritis – Osteoarthritis is the result of joint cartilage deterioration, which manifests itself as shoulder pain but also as neck pain.

Shoulder pain caused by arthritis - Arthritis occurs as a joint inflammation and is an autoimmune disease where the immune system recognizes the joint lining as a foreign body and attacks it.

Shoulder arthritis - is a degenerative change in joint cartilage, manifesting as shoulder pain, but also as neck pain.

Neck pain - the cervical part undergoes significant stress because it carries the head, which is on average 11 kg. Therefore, many painful conditions manifest as shoulder pain, which only reflects the primary source of pain.

Who is most affected by shoulder pain, and when is the right time to seek professional help?

Shoulder pain most commonly affects former athletes, people who have had shoulder injuries, and women over 40 years of age. Since most conditions develop gradually, pain is just a symptom that is the first trigger for detailed analysis and a doctor's visit.

When the pain frequently occurs, causing psychological and physical difficulties, professional help should be sought for diagnosis and proper treatment. Most symptoms can be alleviated and significantly improve the quality of life while slowing down further changes.

Don't wait for the pain to spread - call us and schedule the first available appointment at Fizionova

Schedule an examination at the Fizionova physiotherapy centre, where we have experts to recognize the problem and provide proper treatment with the support of state-of-the-art devices that bring significant relief in just a few treatments.




Leading center for innovative therapies in the region


Dr Jelena Kluz-Đurđević, a specialist in physical medicine

After a conversation with the patient, Dr. Jelena will conduct an examination to obtain a more comprehensive view of your health status, helping to determine whether it's an injury or a diagnosis.

The examination lasts for 30 minutes and includes:

Schedule a specialist examination by calling 011 2100 588 for the cost of 4,000 RSD.